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Inhibiting RRM2 to enhance the anticancer activity of chemotherapy
Yaqiong Zhan1, Lushun Jiang1, Xuehang Jin1
1State Key Laboratory for Diagnosis and Treatment of Infectious Disease, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Zhejiang Provincial Key Laboratory for Drug Clinical Research and Evaluation, The First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, Zhejiang 310000, People's Republic of China.
Abstract:
RRM2, the small subunit of ribonucleotide reductase, is identified as a tumor promotor and therapeutic target. It is common to see the overexpression of RRM2 in chemo-resistant cancer cells and patients. RRM2 mediates the resistance of many chemotherapeutic drugs and could become the predictor for chemosensitivity and prognosis. Therefore, inhibition of RRM2 may be an effective means to enhance the anticancer activity of chemotherapy. This review tries to discuss the mechanisms of RRM2 overexpression and the role of RRM2 in resistance to chemotherapy. Additionally, we compile the studies on small interfering RNA targets RRM2, RRM2 inhibitors, kinase inhibitors, and other ways that could overcome the resistance of chemotherapy or exert synergistic anticancer activity with chemotherapy through the expression inhibition or the enzyme inactivation of RRM2.
Insights
Ribonucleotide reductase M2 (RRM2) promotes tumors and causes chemotherapy resistance. Inhibiting RRM2 can enhance chemotherapy
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Ribonucleotide reductase M2 (RRM2) is the small subunit of ribonucleotide reductase.
- RRM2 overexpression is frequently observed in chemo-resistant cancers and predicts poor prognosis.
- RRM2 plays a critical role in mediating resistance to various chemotherapeutic agents.
Purpose of the Study:
- To review the mechanisms driving RRM2 overexpression in cancer.
- To elucidate the role of RRM2 in chemotherapy resistance.
- To summarize therapeutic strategies targeting RRM2 for overcoming chemoresistance.
Main Methods:
- Literature review of studies on RRM2 overexpression mechanisms.
- Analysis of RRM2's role in mediating drug resistance.
- Compilation of therapeutic approaches targeting RRM2, including siRNA, inhibitors, and combination therapies.
Main Results:
- RRM2 overexpression is linked to tumor promotion and chemoresistance.
- RRM2 activity is a key factor in the efficacy of chemotherapy.
- Various strategies targeting RRM2 show potential in overcoming resistance and enhancing anticancer effects.
Conclusions:
- Targeting RRM2, through inhibition or inactivation, is a promising strategy to enhance chemotherapy efficacy.
- RRM2 can serve as a predictive biomarker for chemosensitivity and patient prognosis.
- Further research into RRM2-targeted therapies could lead to improved cancer treatment outcomes.
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